Abstract: In chronic liver injury, hepatic stellate cells (HSCs) have been implicated as regulators of sinusoidal vascular tone. We studied the relative role of Ca2+-dependent and Ca2+-independent contraction pathways in rat HSCs and correlated these findings to in situ perfused cirrhotic rat livers. Contraction of primary rat HSCs was studied by a stress-relaxed collagen lattice model. Dose-response curves to the Ca2+ ionophore A-23187 and to the calmodulin/myosin light chain kinase inhibitor W-7 served to study Ca2+-dependent pathways. Y-27632, staurosporin, and calyculin (inhibitors of Rho kinase, protein kinase C, and myosin light chain phosphatase, respectively) were used to investigate Ca2+-independent pathways. The actomyosin interaction, the common end target, was inhibited by 2,3-butanedione monoxime. Additionally, the effects of W-7, Y-27632, and staurosporin on intrahepatic vascular resistance were evaluated by in situ perfusion of normal and thioacetamide-treated cirrhotic rat livers stimulated with methoxamine (n = 25 each). In vitro, HSC contraction was shown to be actomyosin based with a regulating role for both Ca2+-dependent and -independent pathways. Although the former seem important, an important auxiliary role for the latter was illustrated through their involvement in the phenomenon of "Ca2+ sensitization." In vivo, preincubation of cirrhotic livers with Y-27632 (10-4 M) and staurosporin (25 nM), more than with W-7 (10-4 M), significantly reduced the hyperresponsiveness to methoxamine (10-4 M) by -66.8 ± 1.3%, -52.4 ± 2.7%, and -28.7 ± 2.8%, respectively, whereas in normal livers this was significantly less: -43.1 ± 4.2%, -40.2 ± 4.2%, and -3.8 ± 6.3%, respectively. Taken together, these results suggest that HSC contraction is based on both Ca2+-dependent and -independent pathways, which were shown to be upregulated in the perfused cirrhotic liver, with a predominance of Ca2+-independent pathways. [ABSTRACT FROM AUTHOR]
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